Contraceptive counseling for continuation and satisfaction

Abstract

Clinicians should strive for good interpersonal relationships with patients, and elicit patient experiences and preferences to tailor their counseling to each individual's needs. Shared decision making with input from both the patient and clinician is preferred by many women, and clinicians should be cognizant of perceptions of pushing any method too strongly, especially among marginalized populations. More research on long-term satisfaction and continuation linked to different counseling practices is needed.

Young Women's Perspectives About the Contraceptive Counseling Received During Their Emergency Contraception Visit

“…Most of the young women were pleased with their EC visit because they felt that they could make their own contraceptive decisions, and perceived the clinic staff not to be "too pushy." These emergent findings are consistent with a growing body of evidence suggesting that patientcentered counseling approaches are associated with contraceptive continuation, use of more effective contraceptive methods, and greater method satisfaction (Dehlendorf, Grumbach, Schmittdiel, & Steinauer, 2017;Dehlendorf et al, 2016;Schivone & Glish, 2017).…”

Reproductive life planning in women after kidney or liver transplantation

“…It is worth mentioning that contraceptive counseling focused on direct decisions made by a physician does not bring the expected clinical effect. Currently, it is recommended to change the method of counseling and to base the interactions on building the trust between the physician and the woman as well as focusing on the woman's preferences and expectations . Such consultations that allow patient‐doctor codecisions are preferred by women, which consequently improves their acceptance of the chosen birth control.…”

“…After completing the questionnaire, each woman who underwent a transplant and declared their willingness to become pregnant received short feedback from the doctor regarding the need to optimize the conception period, taking into account the recommended minimum time interval from transplantation to conceiving . Consultation with the transplant physician and gynecologist regarding any pregnancy planning was also discussed with the women.…”

Untitled

“…From the lessons learned from contraceptive technology, it has been seen that using increased variety of product types for PrEP will increase the profitability that at least 1 product will fit a particular persons needs at a given time. 52 Because of this interest in development and evaluation of HIV prevention agents which do not need daily adherence has arisen. Cabotegavir (CAB) is an investigational strand transfer integrase inhibitor that has potent activity against HIV in vitro and in vivo.…”